首页|从"气、痰、瘀"论治卒中后抑郁

从"气、痰、瘀"论治卒中后抑郁

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卒中后抑郁是卒中后的一种情感障碍性疾病,其严重性往往被忽视或低估,西医对于该病的发病机制尚无统一定论.气、痰、瘀与卒中后抑郁的发生发展密切相关,此三要素又相互影响,互为因果.随着气、痰、瘀在卒中后抑郁各个时期的主导地位不断变化,卒中后抑郁各个时期的病因病机也呈动态演变,致疾病形成恶性循环,迁延不愈,故针对此三要素,采用行气解郁、化痰祛瘀、益气养血的方法进行治疗,以期能阻断气、痰、瘀传变闭环,为临床诊疗卒中后抑郁提供新思路.
Treating Post-stroke Depression from"Qi,Phlegm,Stasis"
Post-stroke depression is an affective disorder after stroke,and its severity is often ignored or underes-timated.Western medicine has no unified theory on the pathogenesis of the disease.Qi,phlegm,and stasis are closely related to the occurrence and development of post-stroke depression.These three elements influence each other and are mutually causal.As the dominant position of Qi,phlegm,and stasis in each period of post-stroke depression continues to change,the etiology and pathogenesis of post-stroke depression in each period also show dynamic evolution,causing the disease to form a vicious cycle and protracted.Therefore,targeting these three elements,the method of promoting Qi and relieving depression,resolving phlegm and removing stasis,and invigorating Qi and nourishing blood is used for treatment,in order to block the closed loop of Qi,phlegm,and stasis transmission,and provide new ideas for the clini-cal diagnosis and treatment of post-stroke depression.

QiPhlegmStasisStrokePost-stroke depression

肖瑶、王恩龙

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辽宁中医药大学 辽宁沈阳 110847

辽宁中医药大学附属医院 辽宁沈阳 110032

卒中 卒中后抑郁

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(8)
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